Supplementary Material for: Post-pancreatitis splenic artery pseudoaneurysm as a luring danger – a case report

INTRODUCTION Splenic artery aneurysm (SAA) is a rare but potentially life-threatening condition. SAA can occur following an acute or chronic pancreatitis as a pseudoaneurysm, iatrogenic (post pancreatic/ splenic surgery) or post-traumatic. If symptomatic it needs to be treated urgently as it has a high risk of rupture CASE PRESENTATION Here is a case where a ruptured aneurysm presented in an unusual manner. First, as an acute abdomen and, second, delayed, as hemorrhagic shock. Only emergency laparotomy and splenectomy saved the patient`s life. CONCLUSION If a splenic artery pseudoaneurysm is detected on CT scan, there is an increased risk of rupture irrespective of the size and the patient that should be pro-actively managed. Concomitant abdominal findings and diseases can delay diagnosis and underestimate the risk.